CQC report explained · a nursing home
What the CQC found at Eversfield
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home had safe infection prevention and control procedures, including PPE, testing, social distancing, visitor arrangements and outbreak planning.
- Effective?
- Good
- This area was not assessed in this inspection.
- Caring?
- Good
- This area was not assessed in this inspection.
- Responsive?
- Good
- This area was not assessed in this inspection.
- Well-led?
- Good
- This area was not assessed in this inspection.
What inspectors found, November 2020
Inspected but not rated; inspectors found good COVID-19 infection prevention and control arrangements.
This was an announced inspection on 10 November 2020. It was part of a national review of infection prevention and control in care homes during the coronavirus pandemic.
Inspectors found that the home was following safe infection control procedures. This included using PPE, social distancing, visitor controls, testing and cleaning arrangements.
People could receive relatives in pre-booked visits. The home also supported video calls and arranged social groups in small, consistent bubbles.
The home was inspected but not rated. This report only looked at infection prevention and control, so it does not give an overall rating or ratings for the other areas of care.
Infection control
Inspectors were assured that the home was preventing visitors from catching and spreading infections and was using PPE safely.
“We were assured that the provider was using PPE effectively and safely.” from the report
Safe visiting
Relatives could visit through a pre-booked system in designated areas, with care staff supporting the visits and visitors given PPE.
“Visits took place in designated areas of the home and were supported by care staff.” from the report
Contact with relatives
The home supported video calls for people whose relatives could not visit in person.
“The registered manager told us they supported people with video calling to maintain links with relatives who could not visit.” from the report
Outbreak planning
The home had assessed risks and planned how to manage a COVID-19 outbreak, including zoning rooms and areas.
“The registered manager had planned how to safely manage an outbreak of COVID-19 in the home, including zoning of rooms and areas.” from the report
Inspectors raised no specific concerns in this report.
- 01How are the infection prevention and control arrangements described in this report being maintained now?
- 02How do relatives currently visit, and what arrangements are in place if someone cannot visit in person?
- 03How do you test residents and staff, and what happens if there is a suspected infection or outbreak?
- 04Can I see the home's most recent overall inspection rating and reports covering care, medicines and management?
- 05How are residents supported to maintain social contact and activities if infection control restrictions are needed?
This was an announced thematic inspection of infection prevention and control during the coronavirus pandemic; it was inspected but not rated and did not assess the other care quality areas. This explanation was written from the published report of 19 November 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, May 2018
Eversfield was rated Good in all areas; inspectors found kind, safe care, with a short-lived gap in some medicines guidance.
Inspectors visited without notice on 6 April 2018. They spoke with nine people, three relatives and staff, watched care, and checked care plans, medicines, incidents, recruitment, training and quality records.
The home supported up to 36 older people, with 32 living there during the visit. Inspectors found enough staff, safe medicines management, suitable training, good infection control and clear plans for managing risks.
People were treated kindly and involved in their care. The home offered activities, supported healthcare access, recorded end of life wishes and had systems for complaints and improvements.
The overall rating stayed Good, as did all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found no evidence of serious risks or concerns.
Enough staff and prompt responses
Inspectors found enough staff to meet people's needs safely. Call bells were answered quickly during the visit.
“We observed throughout the day that no response time was longer than four minutes.” from the report
Kind and respectful care
People spoke positively about staff, and inspectors saw warm interactions. Staff protected privacy and supported people to remain independent.
“We saw and heard people laughing and chatting with staff in their rooms whilst being supported and cared for.” from the report
Personalised support
Care plans recorded people's preferences, routines and important wishes. Staff used this information in daily care and activities.
“Each care plan included an, "All About Me" sheet which held detailed personal preference information for staff.” from the report
Activities and community links
People had access to varied activities, trips and events, including links with local groups and a church.
“The activity schedule set out at least one or two activities each day which included from the cinema trips, exercises, lectures/talks and scrabble.” from the report
Quality checks and improvements
The provider used audits and meetings to monitor care and act on issues. Inspectors saw examples of identified improvements being completed.
“Regular audits were carried out to monitor and assure the quality of the care that people received.” from the report
Written guidance for as-required medicines
needs fixingAt the inspection, some as-required medicines did not have clear written protocols for staff. The provider later supplied evidence that protocols had been put in place.
“Where people were prescribed 'as required' (PRN) medicines, we noted there were no clear protocols in place for staff.” from the report
Some orientation signage was temporarily removed
minorSignage that helped people with visual impairment or dementia had been removed temporarily because of refurbishment. The report does not say when it would be replaced.
“signage to help people with a visual impairment or those living with dementia was normally in place although it had been temporarily removed for refurbishment.” from the report
- 01Are written protocols for all as-required medicines still complete and reviewed regularly?
- 02Has all signage for people with visual impairment or dementia been restored after refurbishment?
- 03How are my relative's personal preferences and routines recorded and checked in daily care?
- 04Which activities would match my relative's interests, and how could they take part?
- 05How would you record and follow my relative's wishes about end of life care?
This was an unannounced inspection covering all five key questions, and all five ratings remained Good from the previous inspection. This explanation was written from the published report of 15 May 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Eversfield
2 rated inspections over 2 years: the service has held its Good rating throughout.
- November 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- May 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 6 January 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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